VBS Registration

 

Registration for VBS 2017!

 
When: July 24-27 
All participants will receive a FREE T-shirt
 
Time: 5:30-8:20 p.m.*
*Transportation is available. Bus pick-up time will be between 5-5:15 p.m. each day.
Please come at 5:15 p.m. on the first day (July 24)
A light supper is provided each evening.
A final program will be 8 p.m. Thursday, July 27
 
Who can participate?
Children who are 5 years old (by July 24) up to children who have completed 4th grade.
 
 

VBS Registration

 
Please fill out the following information to register for VBS:
1.
*

Child's Name (nombre del niño):

2.
* Grade completed (Grado completado):
3.
*

Street Address (dirección de la calle):

4.
*

City (ciudad):

5.
*

State (estado):

6.
*

Zip Code (código postal):

7.
*

Phone number (número de teléfono):

8.
*

Birthday (mm/dd/yy) - cumpleaños del niño (mes/día/año):

9.
*

Do you need transportation to VBS? (¿Necesita transporte a VBS?)

Yes   No
10.
*

Parents/Guardians names (Nombres de padres/guardianes):

11.
*

Home phone number (número de teléfono):

12.
* Family email
13.
*

T-shirt size (Talla de camiseta)

Youth small   Adult small
Youth medium   Adult medium
Youth large   Adult large
14.

Medical Information (allergies, etc.) — {Información médica (alergias, etc.)}

15.
*

Emergency contact (include phone number) — Contacto de emergencia (incluya el número de teléfono):

If you have questions while completing this form, please contact Shawn Meyers (VBS coordinator) at (712) 722-0949.

REMINDER -- WAIVER FORMS NEEDED:
Parents/guardians must fill out a waiver form for each of their children attending our VBS program. The forms must be brought to the first night of VBS. You will be directed to the waiver form after registration is complete.
 
Recuerde entregar el formulario de exención
Los padres/tutores necesitan llenar un formulario de exención para cada uno de sus hijos que va a asistir a la escuela bíblica de vacaciones. Hay que llevar los formularios  a la iglesia la primera noche del programa. Será dirigido al formulario de exención después de cumplir la inscripción.

* Email Address:

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